2024 Clearwater Cove Wk 5

WHEN: June 17th, 2024 - June 21st, 2024

Departure: Monday, June 17th at 6 am.

Return: Friday, June 21st around 11:30 pm.

COST: $725, a deposit of $75 is required to hold your spot.

Money is nonrefundable after March 31st.

After completing this form, a confirmation will be sent with the information you have entered below.

Fundraisers, work projects, and scholarships are available for students to help offset the cost of camp. If interested, please note so in the additional comments below.

Questions and Information

Contact Michael at the Young Life Office at:

(402) 640-2018

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($725.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($725.00)
A deposit is required to secure your spot for camp. Contact Michael to arrange for an offline deposit. Select "Cash/Check" under billing information below to complete registration.

Participant Name

Date of Birth

Phone

Phone Type

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments (e.g. dietary restrictions, allergies, health conditions, behavior concerns, etc.)

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox